Provider Demographics
NPI:1558093260
Name:KERR, JENNIFER (LMFTA)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 BEARDSLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3951
Mailing Address - Country:US
Mailing Address - Phone:631-786-0156
Mailing Address - Fax:
Practice Address - Street 1:51 BEARDSLEY RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3951
Practice Address - Country:US
Practice Address - Phone:631-786-0156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2696101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health